The nurse knows that which indwelling catheter procedure places the patient at greatest risk of acquiring a urinary tract infection?
Kinking the catheter tubing to obtain a urine specimen
Emptying the drainage bag every 8 hours or when half full
Failing to secure the catheter tubing to the patient's thigh
Placing the drainage bag on the side rail of the patient's bed
The Correct Answer is D
a) Kinking the catheter tubing to obtain a urine specimen: Kinking the catheter tubing can cause backflow of urine, increasing the risk of infection, but it is not as significant a risk factor as improper drainage bag positioning.
b) Emptying the drainage bag every 8 hours or when half full: Properly emptying the drainage bag regularly reduces the risk of infection, as it prevents overfilling and backflow. This practice is usually part of proper care.
c) Failing to secure the catheter tubing to the patient's thigh: Securing the tubing to the thigh is important for preventing pulling or tension, but it’s not as significant in terms of infection risk as the positioning of the drainage bag.
d) Placing the drainage bag on the side rail of the patient's bed: This significantly increases the risk of urinary tract infections (UTIs) as it can cause the urine to flow back into the bladder, a condition called "reflux." The drainage bag should always be kept below the level of the bladder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a) Assist him to a standing position: Assisting the client to a standing position can help facilitate voiding, as it takes advantage of gravity and the normal physiological positioning for urination in males.
b) Ask his wife to assist with the urinal: While support from family members is often helpful, it does not address the issue of positioning, which is key in facilitating voiding after surgery.
c) Pour cold water over his genitalia: Pouring cold water is a common technique to encourage voiding, but it may not be as effective as proper positioning.
d) Tell him he has to void to be discharged: While it’s true that clients need to void before discharge in some cases, this statement may cause anxiety and does not address the root of the issue (difficulty voiding in the supine position).
Correct Answer is D
Explanation
a) "I am going to feed you your cereal first, and then your eggs.": This statement may sound patronizing, as it takes control away from the client. It doesn’t respect the person’s autonomy or preference.
b) "I wish I had more time so I could feed you all of your meal.": This statement implies pity and undermines the client's dignity by suggesting they are a burden. It could make the client feel less valued.
c) "I know you don't like me to feed you, but you need to eat.": This statement does not respect the client’s autonomy or dignity. It implies frustration and does not address the client’s preferences in a respectful way.
d) "What part of your dinner would you like to eat first?": This statement gives the client choice and respects their dignity by involving them in the decision-making process. It maintains the client’s sense of control and autonomy during the feeding.
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